Individual
MATTHEW LEE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
365 COURTHOUSE RD, PRINCETON, WV 24740-2431
(304) 425-3922
(304) 487-0229
Mailing address
365 COURTHOUSE RD, PRINCETON, WV 24740-2431
(304) 425-3922
(304) 487-0229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103773
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103773
LICENSE
WV
Enumeration date
06/19/2019
Last updated
06/19/2019
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